Mehta Amy A, Wagner Lilly H, Blace Nancy
a Bronx Lebanon Hospital Center, Bronx , New York , USA.
b Albert Einstein College of Medicine , New York , New York , USA.
Orbit. 2017 Jun;36(3):183-187. doi: 10.1080/01676830.2017.1280058. Epub 2017 Mar 10.
Paranasal sinus mucoceles are benign lesions that commonly present with orbital signs due to their anatomic proximity. We are reporting a case of bilateral frontal sinus mucocele presenting with spontaneous eyelid ecchymosis. To our knowledge this is the first case report of eyelid ecchymosis as the initial sign of this condition. In addition, our patient lacked commonly described symptoms such as diplopia or pain. This report highlights the importance of including frontal sinus mucocele in the differential diagnosis of spontaneous periorbital ecchymosis.
鼻窦黏液囊肿是一种良性病变，因其解剖位置靠近眼眶，常表现出眼眶相关体征。我们报告一例双侧额窦黏液囊肿，以自发性眼睑瘀斑为表现。据我们所知，这是首例以眼睑瘀斑作为该疾病首发症状的病例报告。此外，我们的患者缺乏复视或疼痛等常见症状。本报告强调了在自发性眶周瘀斑的鉴别诊断中纳入额窦黏液囊肿的重要性。
